Name: Phone: Email:
Address: City: State: Zip Code:
Your skills, talents, interests, hobbies, leadings:
Your current roles/activities (if any):
Limitations on availability (if any):
Committees you currently serve on (if any):
Committees/roles/activities you might consider for the future (if any):
Committees you served on previously (if any):
What draws you to Gwynedd Meeting?
Anything else you'd like us to know?